Organization Active NPI

Thrive RX LLC

  • Community/Retail Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1922557115
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14941/1.1 Issued in MS
Legal business name
THRIVE RX LLC
Practice address
6440 U S Highway 98
Hattiesburg, MS 39402-8437
Phone
(601) 852-1099
Fax
(601) 851-0188
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clark Levi
Title
Owner
Phone
(228) 218-5667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 14941/1.1 MS Primary

Addresses

Primary practice location

6440 U S Highway 98
Hattiesburg, MS 39402-8437

Mailing address

6440 U S Highway 98
Hattiesburg, MS 39402-8437
Phone (601) 852-1099

Other identifiers 1

IdentifierTypeStateIssuer
2164326OtherPK

Other names 1

  • ThriveRx Doing business as

National Provider Directory

National Provider Directory

Locations

6440 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 852-1099

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1922557115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028437",
            "telephone_number": "601-852-1099",
            "fax_number": "601-851-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028437",
            "telephone_number": "601-852-1099",
            "fax_number": "601-851-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-218-5667"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "14941/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThriveRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.